Nailed Cementoplasty: A Salvage Technique for Rorabeck Type II Periprosthetic Fractures in Octogenarians

被引：8

作者：

Bobak, Peter ^{[1
]}

Polyzois, Ioannis ^{[1
]}

Graham, Simon ^{[1
]}

Gamie, Zakareya ^{[1
]}

Tsiridis, Eleftherios ^{[1
]}

机构：

[1] Univ Leeds, Sch Med, Leeds Teaching Hosp NHS Trust, Leeds Gen Infirm,Acad Dept Trauma & Orthopaed, Leeds LS1 3EX, W Yorkshire, England

来源：

JOURNAL OF ARTHROPLASTY | 2010年 / 25卷 / 06期

关键词：

periprosthetic; fracture; retrograde; intramedullary nail; cement; osteoporosis; TOTAL KNEE ARTHROPLASTY; SUPRACONDYLAR FEMUR FRACTURES; FEMORAL FRACTURES; INTERNAL-FIXATION; PATHOLOGICAL FRACTURES; ADJUNCT; HIP; METHYLMETHACRYLATE; REPLACEMENTS;

D O I：

10.1016/j.arth.2009.06.034

中图分类号：

R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];

学科分类号：

摘要：

Periprosthetic femoral fractures around a total knee arthroplasty present a surgical challenge in octogenarians with advanced osteoporosis. We describe a salvage technique combining retrograde intramedullary nailing augmented with polymethylmethacrylate cement in 5 patients followed up for a median time of 12 months. The nail/cement construct bridges the femoral canal tightly and simulates a stemmed cemented revision component. All patients had an uncomplicated recovery and returned to their preinjury functional status within 4 months. This procedure does not disrupt the soft tissue envelope around the fracture site, is easy to perform and permits immediate full range of movement. When standard retrograde nailing or plating alone is inadequate in maintaining severely osteoporotic fracture reduction, nailed cementoplasty is proposed as a salvage procedure in octogenarians unfit for lengthy interventions.

引用

页码：939 / 944

页数：6

共 26 条

[1] Operative stabilization of supracondylar femur fractures above total knee arthroplasty - A comparison of four treatment methods [J].